Permit I •
CITY OP TIGARD MECHANICAL PERMIT
PERMIT #: MEC2005 -00274
DEVELOPMENT SERVICES DATE ISSUED: 5/25/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 104 AB -04100
SITE ADDRESS: 13336 SW SCOTTS BRIDGE DR ZONING: R -4.5
SUBDIVISION: MORNING HILL NO. 3 LOT: 074 JURISDICTION: TIG
Project Description: Replace gas furnace.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
FREDRICKSON, BJORN & CATHERINE Description Date Amount
13336 SW SCOTTS BRIDGE DR
TIGARD, OR 97223 [MECH] Permit Fee 5/25/200E $72.50
[TAX] 8% State Surcha 5125/200E $5.80
Total $78.30
Phone: 503 -524 -9980
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397
TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS
Phone: 503- 624 -2704
Reg #: LIC 76359
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: , 1 , ,/ Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
P . 02
MnY-24-05 1 0 : 37 AM
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il IA ..';"1-iinpec cion Line. 503.639.4175 AT 4 2005 _ -.
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' - and 4family dwelling 0 Conunercial/indusirial 0 Accessory buildrng .....______......4_•
For ipecia1 informatiOn use chea;is;
MV` a Mutt family 0 Master builder 0 Other: ,.
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Description ' 1 Qr I TotaT
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''.. .Pi. s"e adcir /3•33, .$0) I _Si r 01 404_ _._ Alf conditioning or heat painp
lesiiiresi2i2wing 1 1 4,0o
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'•ii ': rtty/State17.TP• Furnace 100,0110 CiTI: (du iu / 14 00 wye 1 . •
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Furnace 100,000+ BTU (dui:is/vents) 17.90 • •• I ' I
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l P roject name
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5s Street' tuitions Co job site..
Duet work I 14 00
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' Hydronic hut watersystein la 00 1 . ',
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1, dronic -7-117
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Residential boilei (iadiiitor or
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Unit hcarerl (fuel-type. not alecrnc),
ifl•wall susperidest, etc . .:. ,
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Flue/vent fot any of above 10.00
c ' 1,ditAsionf ' 1 Lot no.:
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1 10.00
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Other fuel appliances _ _ ..._ i
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'A';:: •t . 'r . Gas tire lace 1000
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: . • ...t!. '' ............. _ _ . __. Wood/ cllet stove .. .,_10 Cre
',.F0 ,1 wupdnreplact/ITItien 1 10.00 .,.. . ki.
f4 4` ,1n vue. . 'Tr.= .....s.., .. ,..', . j,. ' • ChinUlt:p line fIniativCrIl I
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: ., Range hood/other kitchen I
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.123 - . .5 efXzaa,(e_f__ e•oipment ' 1000 !
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Single-duct exhaust (light owns, • 10 00
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''1 pt toe'. 3 )57 .. . d Fax: ( ) toilet . !lompartn team, t; tili ty rooms)
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het mail: P4/ al y ____. S5.40 tol. first (Our; 31.00 for each additipt12I 4.. .i. i
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7:2 <,4-t__ . 222kt_S__ -
ep_ _
- Moorman permit ice ($ 50) -
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- 5 Y State surchal ge (1}% of permit ice)
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l'OTAL PERNLIT PFEf
This permit apply:anon tapir v. if a il Is not obtained within "SO.,'
1,4tsriZed Sigr!alord. _ 41-4
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l'..4,..1 . . • ....- .,-... _.-_-. ..__, days after it has been accepted aS complete. . . , .
name: : ,,.., - "I .__i4 Z6Z 12Le..:. -1,2x/a--5*._1 • Fee niethaiotii Set by 7114:aunty Building triduStry Ser Elo,i0 .:i.j•
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CITY OF TIGJ -''IUD _
•
BUILDING DIV''SION PERMIT #: MEC2005.00274
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' L
INSPECTION WORKSHEET FOR DATE: 6/7/2005 TIME: 7:17AM PAGE: 80
SITE ADDRESS: 13336 SW SCOTTS BRIDGE DR CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 3 LOT #: 074 TYPE OF USE:
PROJECT NAME: FREDRICKSON
DESCRIPTION: Replace gas furnace.
OWNER: FREDRICKSON, BJORN & CATHERINE, PHONE #: 503- 5249980
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 624 - 2704
Inspection Request Scheduled For: Date: 6/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 008562 -01 503 - 6242704 N
Corrections /Comments/ Instructions:
t' '` S C I / Cty . n!„ C`r
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-